宫颈糜烂267例肉眼所见与病理诊断结果对比分析

Comparison between 267 cases of cervical erosion and found by naked eye their pathological diagnosis

目的调查普通妇科医生临床肉眼拟诊的宫颈糜烂经组织学检查确诊后的疾病构成。方法对普通妇科医生临床肉眼拟诊宫颈糜烂的患者267例行阴道镜下活检病理检查明确诊断,根据确诊结果统计其疾病构成。结果此267例肉眼拟诊的宫颈糜烂的疾病构成为:宫颈炎28.1%(75例),宫颈上皮内瘤样病变(CIN)I39.0%(104例),CINII13.5%(36例),CINIII14.6%(39例),宫颈癌3.4%(9例),其他1.5%(4例)。结论肉眼拟诊的宫颈糜烂中宫颈病变的比例很高,仅凭肉眼观察无法区分宫颈糜烂与宫颈上皮内瘤变及早期宫颈癌。

[Objective] To make definite diagnosis by ordinary gynecologist through the 267 cases of naked-eyes imagined cervical erosion, and to investigate their disease composition. [Method] Apply biopsy on the 267 cases who were diagnosed as cervical erosion by naked eyes to make a definite diagnosis, then compare the results. [Restilt] The disease composition of the 267 cases who were diagnosed as cervical erosion by naked eyes are： cervicitis 28.1% （75 cases）, cervical intraepithelial neoplasia （CIN）Ⅰ39.0% （104 cases）, CIN Ⅱ 13.5% （36 cases）, CIN Ⅲ14.6% （39 cases）, cervical cancer 3.4% （9 cases）, others 1.5% （4 cases）. [Conclusion] In the naked eyes imagined cervical erosion cases, cervical lesions have a high proportion. So we can hardly differentiate cervical erosion from CIN or cervical cancer in early stage.